Stevenson, Charles Edward
Stevenson, Charles Edward is an individual health care provider with primary practice located at 804 Dixie St , Carrollton GA 30117-4416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Stevenson, Charles Edward can be contacted via phone (770) 834-0606.Contact Information
Primary practice address
804 Dixie St
Carrollton GA 30117-4416
Phone: (770) 834-0606
Fax: (770) 834-1833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 016288 | Georgia |
Profile Details
| NPI number | 1548243801 |
|---|---|
| LBN Legal business name | Stevenson, Charles Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548243801 | NPPES |
| Georgia | MEDICAID | 00222725A |
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